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1508804352
DONNA S. GRISHAM
PORTLAND, CT
NPI
1508804352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 000424)
Enumeration Date
2006-06-03
Last Update Date
2011-07-14
Business Address
Mrs. DONNA S. GRISHAM LADC
553 PORTLAND COBALT RD
PORTLAND, CT 06480-1968
Phone number: 860-342-0760
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Mailing Address
Mrs. DONNA S. GRISHAM LADC
553 PORTLAND COBALT RD
PORTLAND, CT 06480-1968
Phone number: 860-342-0760
Copy
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